Individual
ERIK BORODEMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
520 HOPE ST, PROVIDENCE, RI 02906-2532
(401) 677-8545
Mailing address
520 HOPE ST, PROVIDENCE, RI 02906-2532
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN55420
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN04619
RI
Other
Enumeration date
02/22/2022
Last updated
01/23/2026
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